Individual
AMY HOFFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3210 N MOUNTAIN VIEW DR, BOISE, ID 83704-4635
(208) 376-4612
Mailing address
3210 N MOUNTAIN VIEW DR, BOISE, ID 83704-4635
(208) 376-4612
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP356-A
ID
363LP2300X
Primary Care Nurse Practitioner
NP 356-A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57335061
—
CO
Enumeration date
08/20/2006
Last updated
07/13/2011
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